Individual
KATELYNN MARIE WOLFGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 817-3701
Mailing address
14710 W HIDDEN CREEK CT, NEW BERLIN, WI 53151-4439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5457-27
WI
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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